Ian Weng Lam, | |
4475 S Eastern Ave, Las Vegas, NV 89119-7826 | |
(702) 877-5199 | |
Not Available |
Full Name | Ian Weng Lam |
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Gender | Female |
Speciality | Family Medicine |
Location | 4475 S Eastern Ave, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144857459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO3447 (Nevada) | Primary |
Entity Name | Optum Medical Group Ii Rhodes P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
Mailing Address | Practice Location Address |
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Ian Weng Lam, Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 954-7699 | Ian Weng Lam, 4475 S Eastern Ave, Las Vegas, NV 89119-7826 Ph: (702) 877-5199 |
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